2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1194009761 MBBS
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SUBODH PANDEY, MBBS

Critical Care Medicine (Internal Medicine) Physician in CHARLOTTESVILLE, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
247
Medicare Part D claims · 52 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
31%
generic claims · 69% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.3949/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$256.07
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SUBODH PANDEY, MBBS reported a CMS MIPS final score of 79.3949/100 — below the 83.1 national average — and filed 247 Medicare Part D claims in 2023.

79.3949/100
MIPS score · -4 vs avg
247
Part D claims, 2023
31%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

SUBODH PANDEY, MBBS's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

79 30th percentile higher than 30% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

SUBODH PANDEY, MBBS practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about SUBODH PANDEY, MBBS?

Near national average

NPI registry status

Active

Issued 09/30/2011

NPI 1194009761

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

247 77% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

79.3949/100 3.7050999999999874% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Virginia providers

Virginia providers

Critical Care Medicine (Internal Medicine) Physician share within Virginia

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within Virginia

Medicare quality performance — MIPS

SUBODH PANDEY, MBBS's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

Near national average
MIPS Final Score
79.3949/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 79.3949/100 vs national avg 83.1

0%100%National avg83%79.4%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 79.3949/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SUBODH PANDEY, MBBS appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding MBBS credentials at 1221 LEE ST, CHARLOTTESVILLE, VA, 22908, with a listed phone of (434) 924-5219. NPI 1194009761 was issued on 09/30/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PANDEY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 247 prescription claims written by this provider, covering 52 Medicare beneficiaries and totaling roughly $117K in drug spend, split 69% brand-name and 31% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.3949/100 for the 2023 performance year (Quality 73.6607, Cost 57.6556), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1221 LEE ST
CHARLOTTESVILLE, VA 22908

Provider Details

NPI 1194009761
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials MBBS
Gender Male
NPI Issued 09/30/2011

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

79.3949
Final Score
Avg: 83.1
73.6607
Quality
57.6556
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SUBODH PANDEY, MBBS bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

UNIVERSITY OF VIRGINIA PHYSICIANS GROUP
CHARLOTTESVILLE, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SUBODH PANDEY, MBBS. Source: openpaymentsdata.cms.gov.

Total received

$256

Largest payer

Pulmonx Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Brand-heavy

SUBODH PANDEY, MBBS — brand share 69.0%
Specialty average (est.)

69% brand-name claims vs 31% generic, on 247 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

247
Total Claims
$117K
Total Drug Cost
52
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
356
Total Day Supply
9,977
Brand vs Generic
69% brand / 31% generic
Brand Drug Cost
$108K
Generic Drug Cost
$9K

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.89
Gender Split
54% female / 46% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What SUBODH PANDEY, MBBS prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
46
Albuterol Sulfate Hfa
Albuterol Sulfate
29
Incruse Ellipta
Umeclidinium Bromide
25
Spiriva Handihaler
Tiotropium Bromide
24
Azelastine Hcl
15
Symbicort
Budesonide/Formoterol Fumarate
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Critical Care Medicine (Internal Medicine) Physician Overview

How SUBODH PANDEY, MBBS fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

SUBODH PANDEY, MBBS's 247 claims are below the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as PANDEY.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUBODH PANDEY, MBBS's specialty?
SUBODH PANDEY, MBBS specializes in Critical Care Medicine (Internal Medicine) Physician and practices in CHARLOTTESVILLE, Virginia. Credentials: MBBS.
How much does SUBODH PANDEY, MBBS prescribe under Medicare Part D?
In 2023, SUBODH PANDEY, MBBS wrote 247 Medicare Part D claims totaling $117K in drug costs for 52 beneficiaries.
What is SUBODH PANDEY, MBBS's Medicare quality score?
SUBODH PANDEY, MBBS has a CMS MIPS Final Score of 79.3949/100 (Quality: 73.6607, Cost: 57.6556). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SUBODH PANDEY, MBBS located?
SUBODH PANDEY, MBBS is located at 1221 LEE ST, CHARLOTTESVILLE, VA, 22908. Phone: (434) 924-5219.
What is SUBODH PANDEY, MBBS's NPI number?
SUBODH PANDEY, MBBS's National Provider Identifier (NPI) is 1194009761, issued on 09/30/2011.
Does SUBODH PANDEY, MBBS prescribe more brand-name or generic drugs?
SUBODH PANDEY, MBBS's prescribing is 69% brand-name and 31% generic drugs by claim count, with $108K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does SUBODH PANDEY, MBBS prescribe most often?
Based on 2023 Medicare Part D data, SUBODH PANDEY, MBBS's most frequently prescribed drugs include Anoro Ellipta, Albuterol Sulfate Hfa, Incruse Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUBODH PANDEY, MBBS accept Medicare?
SUBODH PANDEY, MBBS appears in CMS Medicare data with 247 Part D claims and 52 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUBODH PANDEY, MBBS's credentials?
SUBODH PANDEY, MBBS's NPI is 1194009761 with credentials MBBS. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology